Document Detail


Comparison of outcomes by gender and for fee-for-service versus managed care: a study of nine community programs.
MedLine Citation:
PMID:  10963924     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
During-treatment services and 7-month posttreatment entry outcome of cocaine- or alcohol-dependent men (n = 145) and women (n = 149) Target City patients receiving either standard fee-for-services (n = 183) or managed care treatment funding (n = 111) in nine community outpatient programs were compared. No differences were found in treatment services received by the various subgroups. Regression analyses compared the four described subgroups (Gender x Type of Funding) on their seven Addiction Severity Index composite scores at 7 months postadmission controlling for the respective baseline composite score and several background variables on which the groups differed. Surprisingly few outcome differences were revealed between men and women patients and patients receiving the two forms of treatment funding. The only difference noted was that patients treated via managed care showed more improvement in the drug area. The need for further evaluation of the effects of managed care is emphasized.
Authors:
A I Alterman; M Randall; A T McLellan
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of substance abuse treatment     Volume:  19     ISSN:  0740-5472     ISO Abbreviation:  J Subst Abuse Treat     Publication Date:  2000 Sep 
Date Detail:
Created Date:  2000-09-25     Completed Date:  2000-09-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8500909     Medline TA:  J Subst Abuse Treat     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  127-34     Citation Subset:  IM    
Affiliation:
The PENN-VA Center for Studies of Addiction and the Treatment Research Institute, University of Pennsylvania School of Medicine, 3900 Chestnut Street, 19104, Philadelphia, PA, USA. Alterman@Research.trc.upenn.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Alcoholism / psychology,  therapy*
Cocaine-Related Disorders / psychology,  therapy*
Fee-for-Service Plans*
Female
Humans
Male
Managed Care Programs*
Middle Aged
Sex Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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